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| 多模态超声评估针刺治疗颞下颌关节紊乱病疗效的应用价值 |
| The application value of multimodal ultrasound evaluation of the therapeutic effect of acupuncture on temporomandibular joint disorder |
| 投稿时间：2025-09-22 修订日期：2026-03-30 |
| DOI： |
| 中文关键词: 颞下颌关节紊乱病 针刺疗法 多模态超声 疗效评估 中西医结合 |
| 英文关键词:Temporomandibular disorders Acupuncture therapy Multimodal ultrasound Efficacy assessment Integration of traditional Chinese and Western medicine. |
| 基金项目:温州市基础性科研项目(Y20220466)。 |
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| 中文摘要: |
| 目的 探讨多模态超声技术在评估针灸治疗颞下颌关节紊乱病(Temporomandibular Disorders, TMD)临床疗效中的应用价值。方法 选取60例符合纳入标准的TMD患者,采用随机数字表法分为观察组与对照组,每组30例。对照组采用常规针刺治疗；观察组在多模态超声实时引导下进行针刺治疗。两组治疗频率均为每周3次,连续治疗4周。分别于治疗前、治疗后采用视觉模拟评分法(VAS)评估疼痛程度,测量最大张口度(MMO),并利用多模态超声观察关节盘位置、咬肌厚度及血流信号变化。结果 治疗后,两组患者VAS评分均显著下降,MMO显著增加,且观察组改善程度均优于对照组,差异具有统计学意义(P<0.05)。超声评估显示,观察组在关节盘复位率、咬肌厚度减小值及血流信号改善率方面均显著高于对照组,差异具有统计学意义(P<0.05)。结论 针灸是治疗TMD的有效方法,多模态超声不仅能客观、量化地评估其疗效,通过实时引导更能显著提升治疗的精准性和有效性,体现了现代影像技术与传统针灸疗法相结合的优势,具有重要的临床推广价值。 |
| 英文摘要: |
| Objective: To explore the application value of multimodal ultrasound technology in assessing the clinical efficacy of acupuncture treatment for temporomandibular disorders (TMD). Methods: A total of 60 TMD patients who met the inclusion criteria were selected and randomly divided into an observation group and a control group, with 30 patients in each group. The control group received conventional acupuncture treatment; the observation group received acupuncture treatment guided by real-time multimodal ultrasound. Both groups received treatment three times a week for four consecutive weeks. The degree of pain was assessed using the Visual Analog Scale (VAS) before and after treatment, and the maximum mouth opening (MMO) was measured. Multimodal ultrasound was used to observe the position of the articular disc, the thickness of the masseter muscle, and changes in blood flow signals. Results: After treatment, both groups showed a significant decrease in VAS scores and a significant increase in MMO, with the observation group showing greater improvement than the control group, and the differences were statistically significant (P<0.05). Ultrasound evaluation showed that the observation |
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